Provider Demographics
NPI:1497793434
Name:SCHAMBERS, PATRICK TANNER (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:TANNER
Last Name:SCHAMBERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7097 CALVERY HILL RD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:MO
Mailing Address - Zip Code:64076-5398
Mailing Address - Country:US
Mailing Address - Phone:816-236-1732
Mailing Address - Fax:
Practice Address - Street 1:4041 NE LAKEWOOD WAY
Practice Address - Street 2:SUITE 180
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1703
Practice Address - Country:US
Practice Address - Phone:816-795-6075
Practice Address - Fax:816-795-8404
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004029039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOS85 D 885Medicare ID - Type Unspecified